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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATIOle1 <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: j�� J� � � �to����r�; tlF'°�.� ��c'�U`� �' � � ZIP: <br /> r � �IL c� u � PHONE: home `�`��%�l� <br /> NAME OF OWNER: ���`.� `' �� � �'`_, ��_ ( ) <br /> ` , . (work) <br /> MAILING ADDRESS: %�'��l f�- �;; -�`��c_� r' CITY: ZIP: <br /> CONTRACTOR: ` - ` ; , PHOl��: `C 5.� �� -� l�'`1 <br /> ��_t� .� ��� ��.. � � f.� <br /> CONTACTPERSON:Gti��� (c ( �� -'E%� ��� MOBILE/PAGER � ' <br /> MAILING ADDRESS: �Ll����� C���'�����,._, CITY: 2'�I��, c,�� ZIP: �. : . �`,; <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHO�tE: <br /> MAILPIG ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ��,��c���- G�c�rr<<r �-� _ °� i l � • � fi � �`�-z �t��� �'��` <br /> 1 <br /> � 1�• <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> G;- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �5l l <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> /� � �, <br /> APPLICANT'S SIGNATURE: / ��"���t�f z�°'s�� DATE: �(�c�, 1 % l 5 <br /> NOTE! Pclrade of Homes events require separate permit approval by Police Department anci <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />